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AN ORIGINAL NON-TRAUMATIC MANEUVER FOR REPOSITIONING MIGRATED PERITONEAL DIALYSIS CATHETERS

Division of Nephrology, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang, P.R. China

Correspondence to: Z. Su, Division of Nephrology, Department of Internal Medicine, The First Affiliated Hospital of Wenzhou Medical College, No. 2 Fuxue Road, Wenzhou 325000, Zhejiang, P.R. China. drzhensu{at}hotmail.com

Objective: To describe an original non-traumatic maneuver for repositioning a migrated peritoneal dialysis (PD) catheter.

Methods: First, tissues wrapping the PD catheter are dissociated, then a correct route is selected according to the position of the catheter, and finally the catheter is repositioned manually in 8 steps: pressing, palpating, vibrating, wave vibrating, rotating, back-pushing and vibrating, swaying, and compressing.

Results: Of 30 cases of PD catheter migration, repositioning was successful on the first attempt in 9 cases, on the third attempt in 10 cases, on the seventh attempt in 7 cases, and failed in 4 cases. The overall success rate was 86.7%.

Conclusion: Manual repositioning of a migrated PD catheter is safe, painless, economical, and feasible. Repositioning of the migrated dialysis catheter may be attempted before referral for more invasive interventions.

KEY WORDS: Catheter migration; manual repositioning.

Received 3 February 2008; accepted 6 August 2008.

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